| NPI | 1093088742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ELENA PENA SPOON Owner/President 915-566-8097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101620) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |